Annexure-A

Export Value Declaration

(See Rule 7 of Customs Valuation (Determination of Value of Export Goods) Rules, 2007.)
1. Shipping Bill No. and Date:2. Invoice No. and Date:3. Nature of Transaction
Sale

Sale on consignment Basis

Sample

Gift

Other

4. Method of Valuation(See Export Valuation Rules)

Rule 3

Rule 4

Rule 5

Rule 6

5. Whether seller and buyer are related

Yes

No

6. If yes, whether relationship has influenced the price.

Yes

No

7. Terms of Payment
8. Terms of Delivery
9. Previous exports of identical/ similar goods, if any
Shipping Bill No. and date:
10. Any other relevant information (Attach separate sheet, if necessary)
Declaration
1. I/We hereby declare that the information furnished above is true, complete and correct in
every respect.
2. I/We also undertake to bring to the notice of proper officer any particulars which
subsequently come to my/our knowledge which will have bearing on a valuation.
Place:
Date:
Signature of the Exporter
Name of the Signatory